Organization · Type 2 NPI

FS Tenant Pool I Trust

Skilled Nursing Facility · Wilmington, DE

NPI number 1790738755 Active

Practice location

2723 Shipley Road
Wilmington, DE 19810

Call (302) 479-0111 Map

Fax (302) 497-5880

Mailing address

400 Centre Street
Newton, MA 02458

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	None listed
Skilled Nursing Facility	314000000X	1169 (DE)
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1790738755
Entity type: Organization (Type 2)
Issued: May 18, 2006
Last updated: Mar 27, 2019
Status: Active
Subpart: Yes of FS Tenant Pool I Trust

Other names

<unavail>
Shipley Manor · doing business as
Shipley Manor · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790738755

FS Tenant Pool I Trust's National Provider Identifier is 1790738755, issued on May 18, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Wilmington, DE. The record was last updated on Mar 27, 2019.